REPORT/RECOMMENDATION TO THE BOARD OF SUPERVISORS
OF SAN BERNARDINO COUNTY
AND RECORD OF ACTION
January 10, 2023
FROM
GEORGINA YOSHIOKA, Director, Department of Behavioral Health
SUBJECT
Title
Grant Award from the California Department of Health Care Services, Community Services Division, for the Substance Abuse and Mental Health Services Administration, Community Mental Health Services Block Grant
End
RECOMMENDATION(S)
Recommendation
1. Accept grant award from the California Department of Health Care Services, Community Services Division, for the Substance Abuse and Mental Health Services Administration, Community Mental Health Services Block Grant, in the amount of $10,466,146, for the period of July 1, 2022 through June 30, 2024.
2. Authorize the Director of the Department of Behavioral Health to accept any subsequent non-substantive amendments to the grant award for the Substance Abuse and Mental Health Services Administration, Community Mental Health Services Block Grant, on behalf of the County, subject to review by County Counsel.
3. Direct the Director of the Department of Behavioral Health to transmit any subsequent non-substantive amendments in relation to the Substance Abuse and Mental Health Services Administration, Community Mental Health Services Block Grant to the Clerk of the Board of Supervisors within 30 days of execution.
(Presenter: Georgina Yoshioka, Director, 388-0801)
Body
COUNTY AND CHIEF EXECUTIVE OFFICER GOALS & OBJECTIVES
Operate in a Fiscally-Responsible and Business-Like Manner.
Provide for the Safety, Health and Social Service Needs of County Residents.
Pursue County Goals and Objectives by Working with Other Agencies and Stakeholders.
FINANCIAL IMPACT
This item does not impact Discretionary General Funding (Net County Cost). The allocation amount of $10,466,146 ($5,233,073 annually) is administered by the California Department of Health Care Services (DHCS) and funded through the federal Substance Abuse and Mental Health Services Administration (SAMHSA) Community Mental Health Services Block Grant (MHBG). The SAMHSA MHBG award does not require a local match. Adequate appropriation and revenue have been included in the Department of Behavioral Health’s (DBH) 2022-23 budget and will be included in the 2023-24 recommended budget.
BACKGROUND INFORMATION
DBH will use the MHBG funding to continue to provide behavioral health services to adults living with a chronic behavioral health condition and to children diagnosed with a serious emotional disturbance (SED).
DBH has been a direct recipient of MHBG funds since 1982. The $10,466,146 award from DHCS for the two-year agreement period will allow DBH to continue providing behavioral health services to SED children and adults experiencing a severe behavioral health condition and/or co-occurring disorder by utilizing the annual funding of $5,233,073 as follows:
1. Children’s System of Care program (Juvenile Justice Community Reintegration) - DBH partners with the Probation Department to assist detained minors and those re-entering the community by providing quality assessment and treatment interventions tailored to meet their behavioral health needs. Services include case management, home and school visits, counseling, and linkage to other needed academic and job-related services.
• Fiscal Year 2022-23: $474,863 with the goal to serve an estimated 225 SED children at an average cost of $2,111 per child.
• Fiscal Year 2023-24: $480,508 with the goal to serve an estimated 225 SED children at an average cost of $2,136 per child.
2. Adult System of Care-Residential Programs (Adult Continuing Care Program Long Term Care); Enhanced Board and Care; Adult Criminal Justice; Housing Solutions Program; Lakeside Special Care; Triage, Engagement and Support Teams; Placement After Stabilization and Premier Program - DBH partners with other community agencies in the County to assist adults at-risk of long-term institutionalization or acute psychiatric hospitalization, adults that have been discharged from locked facilities, or adults involved in the criminal justice system. DBH provides appropriate placement and/or intensive behavioral health services, including case management and individual treatment services, with a focus on successful reintegration into the community, while assisting them in achieving their optimal level of self-sufficiency and independence in both residential placement and outpatient treatment settings.
• Fiscal Year 2022-23: $3,745,243 with the goal to serve an estimated 1,136 adults at an average cost of $3,297 per adult.
• Fiscal Year 2023-24: $3,726,942 with the goal to serve an estimated 1,136 adults at an average cost of $3,281 per adult.
3. Adult System of Care programs targeting at-risk adults with co-occurring disorders, which may include involvement in the criminal justice system (Cedar House Co-Occurring Residential Care; Transitional Alliance Program; and Co-Occurring Residential Services for Consumers Involved in the Criminal Justice System) - These programs serve adults with behavioral health and/or co-occurring disorder treatment needs through individual and family driven services addressing the disparity and gaps in behavioral health services with the goal of decreasing hospitalizations and incarcerations.
• Fiscal Year 2022-23: $1,012,967 with the goal to serve an estimated 154 adults at an average cost of $6,578 per adult.
• Fiscal year 2023-24: $1,025,623 with the goal to serve an estimated 154 adults at an average cost of $6,660 per adult.
On June 14, 2022 (Item No. 17), the Board of Supervisors (Board) approved DBH’s submission of the renewal application for SAMHSA MHBG, in the amount of $10,466,146, for the period of July 1, 2022 through June 30, 2024.
On November 1, 2022, DBH received the grant award notice from DHCS approving DBH’s SAMHSA MHBG application in the amount of $10,466,146, for the period of July 1, 2022 through June 30, 2024.
DBH is requesting approval of the grant award and for the DBH Director to accept any subsequent non-substantive amendments, as required by DHCS, on behalf of the County, subject to review by County Counsel.
This item is being presented at this time as this is the first Board date available following receipt of the notification letter and required DBH Administrative review, as well as program, fiscal, and legal reviews.
PROCUREMENT
N/A
REVIEW BY OTHERS
This item has been reviewed by Behavioral Health Contracts (Natalie Kessee, Contracts Manager, 388-0869) on November 14, 2022; County Counsel (Dawn Martin, Deputy County Counsel, 387-5455) on November 14, 2022; Finance (Christopher Lange, Administrative Analyst, 386-8393) on December 12, 2022; and County Finance and Administration (Cheryl Adams, Deputy Executive Officer, 388-0238) on December 20, 2022.